This website uses cookies to ensure you have the best experience. Learn more

Financial Complications In Quality Of Healthcare

1245 words - 5 pages

Financial Implications on Quality of Care
There are many factors that can influence the quality provided by an organization. Conversely, it can also be be said that the quality of the services of an organization can have an influence over other factors as well. In this module, we look at how quality of care provided by an organization can carry major financial implications; that is, the importance of quality on the finances of an organization.
In Module 4 we talked about how necessary technology is to the quality of health care. The importance on quality, not just quality of care, is just as important to the financial success of a health care organization. Many third-party ...view middle of the document...

Hospital stays, physician office visits, and pharmacy rank among the top spending categories (Buchbinder and Shanks, 2007, pp. 156-157). With all this said, we have to think of the saying "to whom much is given, much is required". That saying can easily be applied to health care as it relates to quality in delivery of services. Health care organizations such as hospitals, physician offices, and other settings will have to produce quality services in order to capitalize on the best rates of reimbursements. As stated earlier, patient outcomes will be the driving force in all of this. The documentation of such outcomes will be crucial to the use of technology, specifically the electronic medical record. Let's take hypertension for example. Payment for services may be based upon how well the organization can control the patient's disease. In some cases, there are benchmarks that have to be met. If a patient has hypertension, a goal may be set to have that patient's blood pressure within a particular parameter and within a given period of time. The health care entity would have to have measures (patient & provider education, treatment practices, policies, etc.) in place to ensure the patient's blood pressure is brought and kept under control. In general, insurance entities such as Medicare and Medicaid want to see optimal results for the services provided by the health care organization. Again, failure to show this could greatly impact the payment for services. It is also important to mention that if an organization is not accredited by the Joint Commission (discussed in Module 3), they are not eligible to receive payment from Medicaid or Medicare (Buchbinder and Shanks, 2007, p. 140). This further reiterates the payer's desire to ensure quality services are provided. We discussed the Joint Commission's role in Module 3 in ensuring quality in an organization. In general, an organization which is accredited not only has the blessing of CMS, but also places itself in a position to recruit higher quality health care providers, who in turn serve as a marketing tool to recruit potential new patients.
Legal Implications
The quality of care in an organization can also have many legal implications which can lead to financial implications. As we discussed in Module 1, quality has a lot to do with positive outcomes. Any negative outcomes experienced by the patient can greatly impact the bottom line of the organization. Let's look at safety for example. According to Buchbinder and Shanks (2007, p. 143), the lives of 98,000 patients are lost each year due to safety issues such as medical errors. Events such as these make it more likely for the health care organization to be sued by the patients affected. Obviously, this can greatly impact the organization's bottom line substantially....

Other Papers Like Financial Complications in Quality of Healthcare

Hiring Plan for Recruiting High Quality Staff in Healthcare Organization

566 words - 3 pages Hiring Plan for Recruiting High Quality Staff in Healthcare Organization Recruitment strategy is essential for providing quality care to the patients in healthcare organization through hiring staffs according to the job analysis based on specialization, adherence to ethical clauses, integrity and dedication of staff towards wellness of patient. When try to regulate what appoint quality, one might require assessing skills and experience, code

Importance of Education in Healthcare Essay

1714 words - 7 pages improvement initiatives. Assessment results can identify gaps in knowledge and skills, and guide managers in setting appropriate training or other remedial interventions targeting individual providers or groups of providers. 6) Liabilities and ethics -Healthcare organizations are responsible for the quality of care their staff provide and consequently must ensure that their staffs are competent and can meet standards for the provision of care

The Impact of Legislature and Regulations on Quality of Healthcare Services

870 words - 4 pages The impact of legislature and regulations on quality of healthcare services The impact of legislature and regulations on quality of healthcare services The health plan exchange program required from the Patient Protection and affordable care Act (PPACA) became in effect as of 2014. This very important piece under the Affordable Care Act (ACA) regulates, that all states would be required to form health insurance exchanges. A

Megatrends in Quality of Life

3260 words - 14 pages technology can also be used to show points of interests and landmarks when the vehicle is not in motion on the windscreen itself, thereby converting it into a fun zone. Conclusion Identifying Mega trends is about identifying the development processes that will have a major impact of our quality of live. In a situation where the future cannot, in principle, be predicted it makes sense the to identify trends in

Adoption Of E-Prescribing In Healthcare Organizations

1209 words - 5 pages -prescribing is technically difficult or that the systems are not sufficiently developed to be beneficial. E-prescribing has the ability to improve the quality and safety of healthcare and is an important element in capitalizing on meaningful use incentives, thereby being beneficial to all stakeholders in the health care system.   Works Cited Crosson, J.C., Schueth, A.J., Isaacson, N., Bell, D.S. (n.d.) Early Adopters of Electronic

Out of Pocket Cost in Healthcare

1665 words - 7 pages patient with a myocardial infarction requiring hospitalization. The Centers for Disease Control and Prevention estimates that, owing in part to such high out-of-pocket costs, in 2011 about a third of U.S. families were either struggling to pay Article 1 1 2 3 Financial Burden of Medical Care. medical bills or defaulting on their payments (see graphs). This health care–related financial burden can cause substantial distress, forcing people

Measuring Quality of Care in Hospitals

908 words - 4 pages Measuring Quality of Services in Hospital Introduction The application of quality-management practices by manufacturers and service providers has become increasingly widespread. Recognition of the differences between manufacturing and services through the dimensions of intangibility, inseparability, and heterogeneity of service products. A hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic

Quality Of Education In South Africa

1364 words - 6 pages The World Economic Forum ranked South Africa’s quality of education 140th out of 144 which is lower than Lesotho and Swaziland. This causes us to think whether the state has or has not failed to provide quality education for its citizens. After the apartheid era South Africa had become a democracy. With the start of this democracy and the new Constitution of the Republic of South Africa 1996 there had been a transformation in South Africa’s

Price Elasticity in Quality of Students

570 words - 3 pages Price Elasticity Case Study #2 Price Elasticity in Quality of Students ECN 202 Edward Rodden Price Elasticity While most studies of price elasticity as it relates to colleges comes in the form of the quantity of students that go to college when there is an increase in price, a study of the quality of students was done by Adam C. Wright in a thesis paper done for the University of Richmond in 2008 (Wright, 2008). In his thesis

Review of: Constructive Deviance: Striving Toward Organizational Change in Healthcare

1022 words - 5 pages Review of: Constructive deviance: striving toward organizational change in healthcare In this scholarly article review I will be describing the article titled “Constructive deviance: striving toward organizational change in healthcare”. This article was written by Dana L. Robbins and Bella L. Galperin from The University of Tampa and published in the Journal of Management and Marketing Research. Their purpose in writing this article is to

The Use of Health Information Technology in Healthcare

3509 words - 15 pages The use of technology in healthcare Lenward Moore HS544 Diane Harrison-James Keller Graduate School of Management December 11, 2011 Table of Contents EXECUTIVE SUMMARY………………………………………………………………………………………………………3-4 DEFINE THE PROBLEM/ISSUE……………………………………………………………………………………………..5 IMPROVING QUALITY OF HEALTH……………………………………………………………………………5 IMPACT ON HEALTH CARE COST………………………………………………………………………………5 IMPACT ON HEALTH CARE DELIVERY SYSTEM

Related Essays

Issues In Healthcare Quality Essay

1102 words - 5 pages Nosocomial infections. Quality of Care in America: The Best in the World? America is believed to have the best healthcare system in the world. What people fail to realize is that there are actually several issues with the quality of care being given to patients here because it seems that all surgeons/doctors truly care about is money, not about what patients truly need or do not need. Because most surgeons/doctors are being pushed by

Quality Management In Healthcare Essay

1827 words - 8 pages encourage effective communication Long and short term goals for health care quality should be should included in a mission statement so it will be forever remembered. National Power’s mission statement is summarizes in the acronym “QUEST”, which stands for Quality, Understanding, Excellence, Safety, and Timeliness. This is an accurate description of a mission statement that has a short and long term in mind. accurate depiction of a healthcare

Providing Quality In Healthcare Essay

1953 words - 8 pages The aim of this assignment is to consider Coulshed and Mullender’s statement (2001) that “the ultimate test of quality will always be what users and their families think of the services we provide” and then critically discuss the issues involved in seeking feedback on quality. Within this assignment I will draw upon course materials as part of my discussion. I will also draw upon some wider materials to broaden the discussion. In order to

What Is Quality In Healthcare Essay

547 words - 3 pages unconsciousness. The existential dichotomy between quality and the human experience awakens the palette for a robust means of understanding the world. The dialogue of the narrator encourages the audience to pursue the Chautauquas, or lessons from a less monistic, unstained lens and “transcend the impulse to divide the world into separate categories of science, art, and religion (Florman & Kestler, 2014).” Quality in healthcare yields